Median arcuate ligament syndrome

In medicine, the median arcuate ligament syndrome (MALS, also known as celiac artery compression syndrome, celiac axis syndrome, celiac trunk compression syndrome or Dunbar syndrome) is a condition characterized by abdominal pain attributed to compression of the celiac artery and the celiac ganglia by the median arcuate ligament.wikipedia
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Bruit

bruitsarterial bruitshumming noise
The abdominal pain may be related to meals, may be accompanied by weight loss, and may be associated with an abdominal bruit heard by a clinician. Occasionally, physical examination reveals an abdominal bruit in the mid-epigastrium.
Median arcuate ligament syndrome, celiac artery stenosis – external compression

Median arcuate ligament

In medicine, the median arcuate ligament syndrome (MALS, also known as celiac artery compression syndrome, celiac axis syndrome, celiac trunk compression syndrome or Dunbar syndrome) is a condition characterized by abdominal pain attributed to compression of the celiac artery and the celiac ganglia by the median arcuate ligament. The median arcuate ligament is a ligament formed at the base of the diaphragm where the left and right diaphragmatic crura join near the 12th thoracic vertebra.
Compression of celiac artery and celiac ganglia by the median arcuate ligament can lead to the median arcuate ligament syndrome, which is characterized by abdominal pain, weight loss, and an epigastric bruit.

Celiac artery

celiac trunkceliacceliac axis
In medicine, the median arcuate ligament syndrome (MALS, also known as celiac artery compression syndrome, celiac axis syndrome, celiac trunk compression syndrome or Dunbar syndrome) is a condition characterized by abdominal pain attributed to compression of the celiac artery and the celiac ganglia by the median arcuate ligament. Side views (sagittal plane) of the descending aorta and two of its branches, the celiac trunk and superior mesenteric artery, demonstrate normal and MALS anatomy.
* Coeliac artery compression syndrome

Superior mesenteric artery syndrome

mesenteric
Superior mesenteric artery syndrome
Median arcuate ligament syndrome

Medicine

medicalmedical sciencemedicinal
In medicine, the median arcuate ligament syndrome (MALS, also known as celiac artery compression syndrome, celiac axis syndrome, celiac trunk compression syndrome or Dunbar syndrome) is a condition characterized by abdominal pain attributed to compression of the celiac artery and the celiac ganglia by the median arcuate ligament.

Abdominal pain

stomach acheupset stomachstomachache
In medicine, the median arcuate ligament syndrome (MALS, also known as celiac artery compression syndrome, celiac axis syndrome, celiac trunk compression syndrome or Dunbar syndrome) is a condition characterized by abdominal pain attributed to compression of the celiac artery and the celiac ganglia by the median arcuate ligament. Patients with MALS reportedly experience abdominal pain, particularly in the epigastrium, which may be associated with eating and which may result in anorexia and weight loss.The pain can be in the left or right side, but usually where the ribs meet.

Celiac ganglia

celiac ganglionceliacGanglion coeliacum
In medicine, the median arcuate ligament syndrome (MALS, also known as celiac artery compression syndrome, celiac axis syndrome, celiac trunk compression syndrome or Dunbar syndrome) is a condition characterized by abdominal pain attributed to compression of the celiac artery and the celiac ganglia by the median arcuate ligament. Treatment is generally surgical, the mainstay being open or laparascopic division, or separation, of the median arcuate ligament combined with removal of the celiac ganglia.

Medical ultrasound

ultrasoundultrasonographysonogram
Once suspected, screening for MALS can be done with ultrasonography and confirmed with computed tomography (CT) or magnetic resonance (MR) angiography.

Minimally invasive procedures

minimally invasiveminimally invasive surgeryinvasive
Treatment is generally surgical, the mainstay being open or laparascopic division, or separation, of the median arcuate ligament combined with removal of the celiac ganglia.

Laparoscopy

laparoscopiclaparoscopic surgerylaparoscopically
Treatment is generally surgical, the mainstay being open or laparascopic division, or separation, of the median arcuate ligament combined with removal of the celiac ganglia.

Mental disorder

mental illnessnervous breakdownmentally ill
Poorer responses to treatment tend to occur in patients of older age, those with a psychiatric condition or who use alcohol, have abdominal pain unrelated to meals, or who have not experienced weight loss.

Epigastrium

epigastricepigastric regionepigastrum
Patients with MALS reportedly experience abdominal pain, particularly in the epigastrium, which may be associated with eating and which may result in anorexia and weight loss.The pain can be in the left or right side, but usually where the ribs meet. Occasionally, physical examination reveals an abdominal bruit in the mid-epigastrium.

Anorexia (symptom)

anorexialoss of appetitedecreased appetite
Patients with MALS reportedly experience abdominal pain, particularly in the epigastrium, which may be associated with eating and which may result in anorexia and weight loss.The pain can be in the left or right side, but usually where the ribs meet.

Weight loss

weight-losslose weightlosing weight
Patients with MALS reportedly experience abdominal pain, particularly in the epigastrium, which may be associated with eating and which may result in anorexia and weight loss.The pain can be in the left or right side, but usually where the ribs meet.

Physical examination

physical exammedical examinationexamination
Occasionally, physical examination reveals an abdominal bruit in the mid-epigastrium.

Gastroparesis

delayed gastric emptyingdelayed stomach emptyingdiabetic gastric stasis
They include gastroparesis and aneurysm of the superior and inferior pancreaticoduodenal arteries.

Aneurysm

aneurysmsaneurismruptured aneurysm
They include gastroparesis and aneurysm of the superior and inferior pancreaticoduodenal arteries.

Superior pancreaticoduodenal artery

superiorsuperior pancreaticoduodenal arteriesanterior superior pancreaticoduodenal artery
They include gastroparesis and aneurysm of the superior and inferior pancreaticoduodenal arteries.

Inferior pancreaticoduodenal artery

inferior pancreaticoduodenal arteriesinferior
They include gastroparesis and aneurysm of the superior and inferior pancreaticoduodenal arteries.

Superior mesenteric artery

superiorSuperior mesentericcranial mesenteric artery
Side views (sagittal plane) of the descending aorta and two of its branches, the celiac trunk and superior mesenteric artery, demonstrate normal and MALS anatomy.

Ligament

ligamentsknee ligamentcapsular ligaments
The median arcuate ligament is a ligament formed at the base of the diaphragm where the left and right diaphragmatic crura join near the 12th thoracic vertebra.

Thoracic diaphragm

diaphragmdiaphragmatichemidiaphragm
The median arcuate ligament is a ligament formed at the base of the diaphragm where the left and right diaphragmatic crura join near the 12th thoracic vertebra.

Crus of diaphragm

cruracrura of the diaphragmcrus of the diaphragm
The median arcuate ligament is a ligament formed at the base of the diaphragm where the left and right diaphragmatic crura join near the 12th thoracic vertebra.

Thoracic vertebrae

thoracic vertebradorsal vertebraethoracic
The median arcuate ligament is a ligament formed at the base of the diaphragm where the left and right diaphragmatic crura join near the 12th thoracic vertebra.

Aortic hiatus

aortic aperturehiatus aorticus
This fibrous arch forms the anterior aspect of the aortic hiatus, through which the aorta, thoracic duct, and azygos vein pass.